GREGG ALLEN SEYLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

GREGG

Middle

ALLEN

Last Name

SEYLER

Suffix

DDS

Business Name

GREGG ALLEN SEYLER DDS

Original Issue Date

03/02/2012

Effective Date

03/02/2012

Expiration Date

09/30/2012

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012